diff --git a/domains/health/mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates.md b/domains/health/mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates.md
index 86f30d1bb..7bf5b10c4 100644
--- a/domains/health/mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates.md
+++ b/domains/health/mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates.md
@@ -10,9 +10,16 @@ agent: vida
 sourced_from: health/2026-04-29-mhpaea-fourth-report-2025-enforcement-structural-limits.md
 scope: structural
 sourcer: DOL EBSA
-related: ["the-mental-health-supply-gap-is-widening-not-closing-because-demand-outpaces-workforce-growth-and-technology-primarily-serves-the-already-served-rather-than-expanding-access", "mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates", "illinois-mhpaea-2024-rule-enforcement-creates-natural-experiment-for-outcome-data-evaluation", "mental-health-reimbursement-27pct-gap-structural-access-barrier", "state-mhpaea-enforcement-addresses-procedural-parity-not-reimbursement-parity"]
-supports: ["State MHPAEA enforcement addresses procedural coverage parity but cannot solve reimbursement rate disparities that drive mental health access barriers"]
-reweave_edges: ["State MHPAEA enforcement addresses procedural coverage parity but cannot solve reimbursement rate disparities that drive mental health access barriers|supports|2026-05-01"]
+related:
+- the-mental-health-supply-gap-is-widening-not-closing-because-demand-outpaces-workforce-growth-and-technology-primarily-serves-the-already-served-rather-than-expanding-access
+- mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates
+- illinois-mhpaea-2024-rule-enforcement-creates-natural-experiment-for-outcome-data-evaluation
+- mental-health-reimbursement-27pct-gap-structural-access-barrier
+- state-mhpaea-enforcement-addresses-procedural-parity-not-reimbursement-parity
+supports:
+- State MHPAEA enforcement addresses procedural coverage parity but cannot solve reimbursement rate disparities that drive mental health access barriers
+reweave_edges:
+- State MHPAEA enforcement addresses procedural coverage parity but cannot solve reimbursement rate disparities that drive mental health access barriers|supports|2026-05-01
 ---
 
 # MHPAEA enforcement closes coverage gaps but not access gaps because payers differentially treat mental health versus medical reimbursement rates
@@ -65,4 +72,4 @@ The Trump administration's May 2025 enforcement pause specifically suspended the
 
 **Source:** DOL EBSA Kaiser settlement, February 2026
 
-The Kaiser settlement demonstrates that outcome-based enforcement (wait time reduction, network adequacy monitoring) is operationally feasible under current MHPAEA framework without requiring the 2024 Final Rule's paused outcome data evaluation provisions. The settlement requires Kaiser to: (1) reduce appointment wait times, (2) improve care review processes, and (3) monitor network adequacy. This represents 'level 1.5' enforcement—bridging process compliance (level 1) and reimbursement rate enforcement (level 2)—showing that access metrics CAN be required by enforcement on a case-by-case basis, even if not systematically mandated.
+The Kaiser settlement demonstrates that outcome-based enforcement (wait time reduction, network adequacy monitoring) is operationally feasible under current MHPAEA framework without requiring the 2024 Final Rule's paused outcome data evaluation provisions. The settlement requires Kaiser to: (1) reduce appointment wait times, (2) improve care review processes, and (3) monitor network adequacy. This represents 'level 1.5' enforcement—bridging process compliance (level 1) and reimbursement rate enforcement (level 2)—showing that access metrics CAN be required by enforcement on a case-by-case basis, even if not systematically mandated.
\ No newline at end of file